Individual provider Active NPI

Sarah Ann Noll, LISW-CP

  • Social Worker
  • Columbia, SC
National Provider Identifier
1700945268
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
9100 Issued in SC
Practice address
3612 Landmark Dr Ste a
Columbia, SC 29204-4039
Phone
(803) 567-1135
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Social Worker 104100000X 9100 SC Primary

Addresses

Primary practice location

3612 Landmark Dr Ste a
Columbia, SC 29204-4039

Mailing address

224 Viking Dr
Columbia, SC 29229-3362
Phone (843) 543-3441

Other practice location 1

4145 Hard Scrabble Rd.
Columbia, SC 29223
Phone (803) 567-1135

Other names 1

  • Ms. Sarah Ann Mook Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170905000264 SC Practitioner - Clinical Social Worker 4981977527 Practice locations: Columbia, SC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3612 Landmark Dr
Suite a
Columbia, SC 29204-4039
Phone (803) 567-1135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Counseling Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1700945268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 VIKING DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292293362",
            "telephone_number": "843-543-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 LANDMARK DR STE A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044039",
            "telephone_number": "803-567-1135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4145 Hard Scrabble Rd.",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "29223",
            "country_code": "US",
            "telephone_number": "803-567-1135",
            "fax_number": "803-788-1440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLL",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "9100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "MOOK",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.